Safe Staffing Reports / NQB 13 November 2018 Safe Staffing Reports / NQB Where we want to be: targets and benchmarks Target: Planned staffing levels are 100%, planned skill mix 70.4% RN:29.6% HCSW ratio Trends and Patterns The evidence collected for June indicates that overall staffing levels have increased from 100.0% to 102.5% compared to planned levels. The planned skill mix has decreased fractionally in June for Registered Nurses (RNs), and the actual skill mix for the Trust was 67% RNs with 33% Health Care Support Workers (HCSWs) which is a increase from May. Root Cause analysis and insights Funded establishment for the trust including nurses has been reset for new financial year. Actions and progress to date Recruitment continues locally, nationally and internationally, additional health care support workers are being used to supplement staffing numbers, and close working with NHSP continues to resolve any issues. SAFE

Care Hours Per Patient Day Programme 13 November 2018 Care Hours Per Patient Day Programme Where we want to be: targets and benchmarks Introduction To provide a single consistent way of recording and reporting deployment of staff working on inpatient wards/units, NHS Improvement have developed, tested and adopted Care Hours per Patient Day (CHPPD). CHPPD is calculated to by adding the hours of Registered Nurses (RNs) and Health Care Support Workers (HCSWs) per ward and dividing by the midnight bed occupancy figures for the ward . CHPPD reports split out RNs and HCSWs to ensure skill mix and care needs are met. Trends and Patterns This is the first month reporting the CHPPD metric. The evidence collected for May indicates that overall CHPPD is 5.1 for RNs and 2.5 for HCSWs for PHT. This was similarly reported in June. SAFE